http://barrycountyhistoryportal.org/files/original/30/861/Death_Transcripts_Barry_County_Vol._9.pdf 63959c91f105e1fd52c0baaa1c7fa0b8 PDF Text Text DEATH TRANSCRIPTS OF BARRY COUNTY RESIDENTS WHO DIED OUTSIDE BARRY COUNTY Compiled by the Michigan Department of Health This volume (Volume 9) begins with Shook and ends with Thompson �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 022786 Decedents Name: Sex: Male Harley R. Shook Date of Death: 04/04/996 Spouses Name: Date of Birth: 11/05/910 SSN: 370-12-4907 Fathers Name: Leander Shook Mothers Name: Grace Tilford Place of Birth: Michigan Ancestry: Armed Forces: Education: German Race: White No 08 Marital Status: Widow, Widower Place of Death City: Kalamazoo County: Kalamazoo Hospital or Other Place of Death Borgess Med Cen Patient Status: Inpatient Residence Address: 11417 Lake Shore Drive City: Prairieville Twp Manner of Death: Not Specified Line 1: Acute Myocardial Infarct Line 2: Coronary Artery Disease Line 3: Line 4: Other Conditions: Left Pleural Effusion Injury Date: Description of Injury: Occupation: Industry: Farmer Farming County: Barry Zip Code: 49080 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Mark, II A. Date of Death: 04/01/994 Fathers Last Name: Shriver Place of Death Hospital: Unknown City: Caledonia Twp Shriver Date of Birth: 10/07/973 Sex Age County: Kent SSN: 366-02-6050 If Hospital: Residence County: Barry City: Middleville Address: 311 Russell Zip Code: 49333 Place of Birth: Michigan Armed Forces: No Ancestry: German Education: High School Marital Status: Never Married Race: White Underlying Cause of Death: 8160 Related Cause of Death (*) 11(54 613050 628160 Autopsy: Yes Findings Available: Yes Actual Place: Other Medical Examiner Case: No Mode of Death: Accident Work Injury: No Location: Street and Highway State File Number: (*) 24045 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 029992 Sex: Male Leroy O. Sibbersen Decedents Name: Date of Birth: 03/15/914 Date of Death: 05/16/996 SSN: 370-12-1202 Spouses Name: Hazel Heffner Fathers Name: Christian Sibbersen Mothers Name: Myrtle Witherell Place of Birth: Ohio Ancestry: Armed Forces: Education: German Race: White No Marital Status: Married High School Place of Death City: Kalamazoo County: Kalamazoo Hospital or Other Place of Death Patient Status: Inpatient Borgess Med Cen Residence Address: 10968 Boniface Pt. Prairieville City: Prairieville Twp Manner of Death: Not Specified Line 1: Sepsis Line 2: Probable Abdominal Mesothelioma Line 3: Line 4: Other Conditions: Carcinomatosis Abdomen Injury Date: Description of Injury: Occupation: Industry: Farmer Farm County: Barry Zip Code: 49080 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 015084 Decedents Name: Sex: Male Marvin Louis Siefke Date of Birth: 01/26/928 Date of Death: 03/02/996 SSN: 381-24-8817 Spouses Name: Beverly Jane Shirlaw Fathers Name: Emil Siefke Mothers Name: Julia Blausey Place of Birth: Ohio Ancestry: Armed Forces: Education: German Race: White No Marital Status: Married High School Place of Death City: Traverse City County: Gd. Traverse Hospital or Other Place of Death Munson Medical Center Patient Status: Emergency Room/Outpatient Residence Address: 6494 S. Wall Lake Rd. Hope City: Hope Twp Manner of Death: Not Specified Line 1: Probable Heart Attack Line 2: Line 3: Line 4: Other Conditions: Status Post Coronary Arterial Bypass Injury Date: Description of Injury: Occupation: Industry: Supervisor Paper Company County: Barry Zip Code: 49058 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 062749 Decedents Name: Sex: Male Paul E. Siegel Date of Birth: 01/21/912 Date of Death: 10/07/996 SSN: 392-16-2777 Spouses Name: Fathers Name: Arthur R. Siegel Mothers Name: Bertha V. Voeler Place of Birth: Michigan Ancestry: Armed Forces: Education: British, Scotch, Welsh, Scotch Irish Race: White Yes Marital Status: Widow, Widower 5 years of college Place of Death City: East Gmd Rapids County: Kent Hospital or Other Place of Death Patient Status: Inpatient Blodgett Mem Med Cen Residence Address: 11 Ironside Drive Hastings City: Hastings Manner of Death: Not Specified Line 1: Acute Renal Failure Line 2: Congestive Cardiomyopathy Line 3: Atherosclerotic Cardiovascular Disease Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Attorney Legal Practice County: Barry Zip Code: 49058 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Rosellen E. Siegel Date of Death: 08/04/994 Date of Birth: 05/13/920 Fathers Last Name: Parcel Place of Death Hospital: Unknown City: Grand Rapids Sex: Female Age: 74 County: Kent If Hospital: Unknown Residence County: Barry City: Hastings Zip Code: 49058 SSN: 273-16-4021 Address: 11 Ironside Dr. Place of Birth: Ohio Armed Forces: No Marital Status: Married Ancestry: British, Scotch, Welsh, Scotch r Race: White Education: 5 years of college Underlying Cause of Death: 1749 Related Cause of Death (*) 111749 Autopsy: No Findings Available: Unknown Actual Place: Extensive Care/Hospice Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 49932 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Phyllis B. Siegert Date of Death: 09/18/994 Date of Birth: Fathers Name: Nelson J. Getman Mothers Name: Josephine Pickles Spouses Name: Julius E. Siegert Sex: Female 07/21/924 Place of Death Hospital: Battle Creek Health Systems City: Battle Creek County: Calhoun If Hospital: Emergency Room/Outpatient Residence County: Barry City: Johnstown Twp Zip Code: 49050 SSN: 379-14-8708 Address: 5422 Long Lake Place of Birth: Michigan Armed Forces: No Marital Status: Married Ancestry: British, Scotch, Welsh, Scotch Race: White Education: 10 Underlying Cause of Death: 410 Related Cause of Death *** 11410 214140 61496 624279 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: (*) 55333 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Sex: Female Decedents Name: Ruth Emily Sielaff Date of Death: 12/25/994 Date of Birth: Fathers Name: Henry J. Sielaff Mothers Name: Minnie Schultz Spouses Name: 12/07/914 Place of Death Hospital: Battle Creek Health Systems City: Battle Creek County: Calhoun If Hospital: Inpatient Residence County: Barry City: Johnstown Twp Zip Code: 49050 Place of Birth: Illinois Armed Forces: No Ancestry: German Education: 5 years of college SSN: 343-38-7300 Address: 1172 Clear Lake Road Marital Status: Never Married Race: White Underlying Cause of Death: 410 Related Cause of Death 11410 214149 61486 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 075287 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 05/13/98 DEATH TRANSCRIPTS County of Residence o County of Occurrence State of Residence: Michigan File Number: 068752 Patient Information Sex: Female Decedents Name: Goldie R. Sikkema Hart Date of Birth: 06/22/914 Date of Death: 11/11/997 Spouses Name: SSN: 368-09-3900 Lawrence T. Hart Fathers Name: Robert Ford Mothers Name: Evelyn Miller Place of Birth: Michigan Ancestry: Armed Forces: American Race: White No Marital Status: Married Education: High School Place of Death County: Gd. Traverse City: Traverse City Patient Status: Inpatient Hospital or Other Place of Death: Munson Medical Center Residence Address: City: 431N. Cedar Street Traverse Hastings Manner of Death Manner: Not Specified Line 1: Stroke With Intra Cerebral Hemorrhage Line 2: Line 3: Line 4: Other Conditions: Injury Date: Injury Description: Occupation: Homemaker Industry: Own Home County: Barry Zip Code: 49684 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 04/17/96 State of Residence: Michigan File Number: 042036 Decedents Name: Sex: Female Edna Skidmore Date of Birth: 08/21/906 J..SSN: 363-38-2605 Date of Death: 07/25/995 Spouses Name: Fathers Name: Wesley Charles Norris Mothers Name: Alice Viola Cheeseman Place of Birth: Michigan i British, Scotch, Welsh, Scotch Irish Ancestry: Race: White Armed Forces: No Education: Marital Status: Widow, Widower 08 Place of Death City: Battle Creek County: Calhoun Hospital or Other Place of Death Patient Status: DOA with hospital name Enroute to Hospital Residence Address: 13490 Trick Rd. Barry City; Barry Twp Maimer of Death: County: Barry Zip Code: 49046 Not Specified Line 1: Acute Myocardial Infarction With Ventricular Fibrillation Line 2: Coronary Artery Atherosclerosis Line 3: Angina Pectoris Line 4: Atrial Fibrillation Other Conditions: History Chf; Hypothyroid Injury Date: Description of Injury: Occupation: Industry: Homemaker At Home �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: RICHARD J. Date of Death: 08/28/993 SLATER Date of Birth: 02/28/929 Sex: Male Age: 64 Fathers Last Name: Slater Sr. Place of Death Hospital: Blodgett Mem Med Cen City: East Grnd Rapids County: Kent If Hospital: SSN: Inpatient 372-26-7696 Residence County: Barry City: Middleville Zip Code: 49333 Address: Place of Birth: Michigan Armed Forces: Yes Ancestry: British, Education: 10 Scotch, 119 Dayton St. Marital Status: Married Welsh, Scotch Race: White Underlying Cause of Death: 1629 Related Cause of Death (*) 111629 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: (*) 49632 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan "Decedents Name: Lorna Katherine Slocum 3 Date of Death: 12/03/994 Date of Birth: * Fathers Name: Joseph Washington Card “ Mothers Name: Clarissa Irene Dudley • Spouses Name: Sex: Female 05/28/915 Place of Death Hospital: Butterworth Hospital City: Grand Rapids County: Kent If Hospital: Inpatient Residence County: Barry City: Baltimore Twp Zip Code: 49508 Place of Birth: Michigan Armed Forces: No Ancestry: French Education: 09 SSN: 377-30-2379 Address: 5898 Bedford Rd Marital Status: Widow, Widower Race: White Underlying Cause of Death: 8227 Related Cause of Death 11)598 618227 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: No Mode of Death: Accident Work Injury: No Location: Other specified places State File Number: (*) 076801 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �Michigan department of public health DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF:: Hie: higan Decedents Name 8 ARTHUR B* SMALLEY .... Date of Deaths 04/02/993 Date of Births 08/06/908 Fa t h e r s La st Na me:: Sma 11 ey Acies 84 Sex 8 Mai® Age,. « P1 a c e o f Dea t h Hospitals Blodgett Mem Med Cen City# East Grnd Rapids Countys Kent If Hospita1n Inpa ti e nt Residence Countys Barry Citys Middleville Zip Codes 49333 P1 a c e o f B i r t h s M i c: h i g a n firmed Force., Ho Arises t ry s Ge r man Educations 5 years of college SSNs 385-01-1713 Addresss 510 Grand Rapids St.. Aoaresss M ,ttCi H^lt.! Statu.. Undei’Jying Caus^ of Deaths 4148 Related Cause of Death (*> 114148 61>966 625789 638781 647199 Autopsy. No Finding Available. Unknot Actual Places Hospital Medical Examiner Cases Unknown Mode of Deaths Natural Work injury« Locations 9t a t e F i 1e Numb e r r. ) 22991 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the I CD code.. �MICHIGAN DEPARTMENT OF" PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF" MICHIGAN IMOIM • COUNTY RESIDENT THE STATE OF:: Michigan Dec. ed «.•?n t W Na Fie n K EI TH L. •< SHELKER Date of Death:: 06/29/993 Date of Births Fa t h e r s L. a i» t Na Re" Sine I k s r P1 a i ? o f Dea t h I losp i t a 1:: B1 odg et1 Men Med Cen C:«t y:: East G r i id Ra p i ds Count y n I f Hosp i t a 1:: Sex:: Male Ages 78 Ke Tit SSN " I rip a t i . •? n t Residence Countys Barry C i t y:: Ha o t j. ng <"> Z i p Cod e:: 49058 05/14/913 368 ••• 18-4969 Ad d r ess:: 641 E » G r a nt P1 a c ® o f B i r t h:: Mi c h i g a 11 A r ine d F o r c es:: No A i'il: hst r y s Ge r na n Ed uc: a t i on:: H i g h Sc: h oo I Ma r i t a 1 St a t us:: Ma r r :i. ed Race:: White U nd e i 1 y i rig Ca u.se o f Dc^a t h :: 4140 Related Cause of Death (.^y 114289 214140 614240 Autopsy:: No F i rid 1 ng s Ava i 1 ab 1 co:: Unk nowri Ac:t ua 1 P1 ac:e:: Med 1 c. a 1 E x a i*i i. ri«-? r Ca se s Un k nouin Hod e o f Dea t h :: Na t u r a 1 Woi k Locat i on:: Injury" St a t e F’i 1 e Nunb c? r n Hosp 11 a .1. 36216 S i x d:» g:»t s w :i t h 111 e :t s 1 d:»g i t. b e :i n g t h e 1 :L n e v t h e 2 n d b e i n g t h e p o i t i o t i w 11 h :i n *t h e linev and posit ions 3 ”6 being the .LCD code« �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan. Decedents Name: AURA M. SMITH Date of Death: 12/07/993 Date of Birth: 12/31/905 Fathers Last Name: CHARBONNEAU Place of Death Hospital: Unknown City: Grand Rapids Sex: Female Age: 87 County: Kent If Hospital; Inpatient Residence County: Barry City: Hastings Zip Code: 49058 SSN: 372-42-0053 Address: 518 SOUTH JEFFERSON ST Place of Birth: North Dakota Armed Forces: No Marital Status: Widow, Widower Ancestry: British, Scotch, Welsh, Scotch Race: White Education: 4 years of college Underlying Cause of Death: 1830 Related Cause of Death (*) 111830 Autopsy: No Findings Available: Unknown Actual Place: Extensive Care/Hospice Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: No Location: State File Number: 76110 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OFs Michigan Dec ed en t s Na me s Be tt y Ju ne Sm i t h Date of Deaths 03/26/993 Date of Births 08/19/927 Fathers Last Names Schultz Place of Death Hosp it a 1 s Un l< nown C i t y s l.owe 11 Twp I f Hosp i t a 1:: County:: Kent SSNs 373-24-2074 Inp a t lent Residence Countys Barry Citys Thornapple Twp Zip Codes 49316 P1 a c e o f B i r t h s Michigan Armed Forces:: No Anu. es t r y s Ge r ma n Educations 08 Sexs Ferna le Ages 65 Addresss 5660 108th. St. Marital Status:: Widow, Widower Races White Under 1 y xng Cause of Deaths 1629 Related Cause of Death OH) 111629 Autopsys No Findings Available^ No Actual Places Nursing Home Medical Examiner Cases Unknown Mode of Death.*: Natural Work Injury:: Locat ions St at e File Numb &rs 15983 < $ > Six digits with the 1st d ig i t being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 03/05/98 DEATH TRANSCRIPTS Non-Resident Transcripts State of Residence: Michigan File Number: 062793 Patient Information Sex: Male Decedents Name: David L. Smith Date of Death: Date of Birth: 05/16/938 10/01/997 SSN: 375-38-1720 Spouses Name: Fathers Name: Edward W. Smith Mothers Name: Pearl L. Erway Place of Birth: Michigan Ancestry: Armed Forces: British, Scotch, Welsh, Scotch Irish Race: White No Marital Status: Divorced Education: 09 Place of Death County: Kent City: Grand Rapids Patient Status: Inpatient Hospital or Other Place of Death: St Mary’s Health Services - Grand Rapids Residence Address: City: 1003 W. State Road Hastings Manner of Death Manner: Not Specified Line 1: Stroke Line 2: Line 3: Line 4: Other Conditions: Injury Date: Injury Description: Occupation: Sexton Industry: Cemetery Hastings County: Barry Zip Code: 49058 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Edgar W. Smith Date of Death: 01/01/994 Date of Birth: Fathers Last Name: 10/02/912 Sex: Male Age: 81 Smith Place of Death Hospital: Pipp Community Hospital City: Plainwell County: Allegan If Hospital: Inpatient SSN: 095-03-5925 Residence County: Barry City: Prairieville Twp Zip Code: Address: 10911 Cressey Rd. 49080 Place of Birth: New York Armed Forces: No Marital Status: Never Married Ancestry: British, Scotch, Welsh, Education: High School Scotch Race: White Underlying Cause of Death: 486 Related Cause of Death (*) 11486 614140 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: (*) 8120 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: EDNA B. SMITH Date of Death: 07/18/993 Date of Birth: 04/04/900 Fathers Last Name: DECKER Place of Death Hospital: Unknown City: Grand Rapids Sex: Female Age: 93 County: Kent If Hospital: Inpatient SSN: 363-42-1201 Residence County: Barry City: Carlton Twp Zip Code: 49325 Place of Birth: Michigan Armed Forces: No Ancestry: British, Scotch, Education: 1 year College Address: 3595 JORDAN ROAD Marital Status: Widow, Widower Welsh, Scotch Race: White Underlying Cause of Death: 1509 Related Cause of Death (*) 111509 Autopsy: No Findings Available: Unknown Actual Place: Nursing Home Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: (*) 43048 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 048280 Decedents Name: Sex: Male Edward John Smith Date of Death: 08/14/996 Spouses Name: Georgia Zimmerman Date of Birth: 10/14/933 SSN: 362-34-5258 Fathers Name: John Purdue Smith Mothers Name: Mary Carpenter Place of Birth: Ohio Ancestry: Armed Forces: Education: British, Scotch, Welsh, Scotch Irish Race: White Yes 08 Marital Status: Married Place of Death City: Battle Creek County: Calhoun Hospital or Other Place of Death Battle Creek Health Systems Patient Status: Inpatient Residence Address: 1725 East Hickory Road Johnstown City: Johnstown Twp Manner of Death: Not Specified Line 1: Myocardial Infarction Line 2: Coronary Artery Disease Line 3: Diabetes Mellitus Line 4: Other Conditions: Hypertension Injuty Date: Description of Injury: Occupation: Industry: Laborer Cereal Factory County: Barry Zip Code: 49017 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Gladys Ruth Smith Date of Death: 07/04/993 Date of Birth: 08/15/906 Sex: Female Age: 86 Fathers Last Name: Weber Place of Death Hospital: Battle Creek Health Systems City: Battle Creek County: Calhoun If Hospital: Inpatient Residence County: Barry City: Johnstown Twp Zip Code: 49021 Place of Birth: Minnesota Armed Forces: No Ancestry: German Education: 11 SSN: 364-34-9015 Address: 4635 Lacey Rd Marital Status: Widow, Widower Race: White Underlying Cause of Death: 4280 Related Cause of Death (*) 115845 214280 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Yes Mode of Death: Natural Work Injury: Location: State File Number: (*) 41435 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 04/17/96 State of Residence: Michigan File Number: 042257 Sex: Female Grace Anna Smith Decedents Name: Date of Birth: 04/22/919 Date of Death: 07/30/995 SSN: 365-28-8960 Spouses Name: John Edgar Smith Fathers Name: Floid Blodgett Mothers Name: Grace Ervay Place of Birth: Michigan Ancestry: British, Scotch, Welsh, Scotch Irish Race: White Armed Forces: No Education: Marital Status: Married 08 Place of Death City: Charlotte County: Eaton Hospital or Other Place of Death Patient Status: Inpatient Hayes Green Beach Hospital Residence Address: 336 Middle St. City: Nashville Manner of Death: Nashville County: Barry Zip Code: 49073 Not Specified Line 1: Sepsis Line 2: Line 3: Lined: Other Conditions: Acute Renal Failure, Diabetes, Congestive Heart Failure; Pneumonia Injury Date: Description of Injury: Occupation: Industry: Home Maker Own Home �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Harold J. Smith Date of Death: 03/11/994 Date of Birth: 03/21/907 Sex: Male Age: 86 Fathers Last Name: Smith Place of Death Hospital: Battle Creek Health Systems City: Battle Creek County: Calhoun If Hospital: Inpatient Residence County: Barry City: Castleton Twp Zip Code: 49058 SSN: 366-07-7267 Address: 982 Charlton Drive Place of Birth: Michigan Armed Forces: No Marital Status: Widow, Widower Ancestry: British, Scotch, Welsh, Scotch Race: White Education: 08 Underlying Cause of Death: 486 Related Cause of Death (*) 117855 210389 31486 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: (*) 15320 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Joseph Steven Smith Date of Death: 09/26/994 Date of Birth: Fathers Name: Steven Joseph Smith Mothers Name: Jodi Marie Kinsley Spouses Name: Sex: Male 12/21/975 Place of Death Hospital: Butterworth Hospital City: Grand Rapids County: Kent If Hospital: Emergency Room/Outpatient Residence County: Barry City: Orangeville Twp Zip Code: 49344 Place of Birth: Michigan Armed Forces: No Ancestry: American Education: High School SSN: 366-80-2998 Address: 6934 Marsh Road Marital Status: Never Married Race: White Underlying Cause of Death: 8120 Related Cause of Death 11)598 618120 Autopsy: Yes Findings Available: Yes Actual Place: Hospital Medical Examiner Case: No Mode of Death: Accident Work Injury: No Location: Street and Highway State File Number: 063271 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 014406 Decedents Name: Sex: Male Randall R. Smith Date of Birth: 04/02/948 Date of Death: 03/24/996 SSN: 530-34-7204 Spouses Name: Fathers Name: Mothers Name: Rex W. Smith Virginia M. Brown Place of Birth: Michigan Ancestry: Armed Forces: Education: American Race: White Yes Marital Status: Divorced High School Place of Death County: Calhoun City: Bedford Twp Hospital or Other Place of Death Patient Status: Unclassified Residence Address: 7350 Cedar Creek Road City: Hope Twp Manner of Death: Accidental Line 1: Multiple Injuries Line 2: Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: 03/24/1996 single Car Accident Stationary Fireman V. A. Medical Center Hope County: Barry Zip Code: 49046 �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 12/02/97 DEATH TRANSCRIPTS County of Residence o County of Occurrence State of Residence: Michigan File Number: 022898 Patient Information Decedents Name: Date of Death: Spouses Name: Sex: Male Russell I B. Snyder 04/16/997 Marjorie I. Johnson Fathers Name: Russell B. Snyder Mothers Name: Arabelle Castelein Date of Birth: 06/09/930 SSN: 362-30-1935 Place of Birth: Michigan Ancestry: Armed Forces: Education: German Race: White No Marital Status: Married 10 Place of Death County: Kent City: East Gmd Rapids Patient Status: Inpatient Hospital or Other Place of Death: Blodgett Mem Med Cen Residence Address: City: 420 E. Center St. Hastings Hastings Manner of Death Manner: Not Specified Line 1: Cardiogenic Shock Line 2: Acute Myocardial Infarction Line 3: Atherosclerotic Heart Disease Line 4: Other Conditions: Injury Date: Injury Description: Occupation: Factory Worker Industry: Aluminum Products County: Barry Zip Code: 49058 �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 09/03/98 DEATH TRANSCRIPTS FOR 1998 County of Residence o County of Occurrence State of Residence: Michigan File Number: 024355 Patient Information Sex: Female Decedents Name: Martha Ann Sousley Date of Death: 04/06/1998 Date of Birth: 11/05/1910 SSN: 374-20-8844 Spouses Name: Fathers Name: George W. Pope Mothers Name: Lillian Sampson Place of Birth: Indiana Ancestry: British, Scotch, Welsh, Scotch Irish Race: White Armed Forces: Marital Status: Widow, Widower Education: 09 Place of Death City: Grand Rapids County: Kent Hospital or Other Place of Death: Patient Status: Inpatient Convalescent home, nursing home, medical care facility or hospice Residence Address: City: 470 Barlow Lake Yankee Yankee Springs Twp Manner of Death Manner: Not Specified Linel: Cerebrovascular Accident Line 2: Line 3: Line 4: Other Conditions: Injury Date: Injury Description: Occupation: Self-employed Industry: Clothing County: Barry Zip Code: 49333 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: ALLENE SPEED Date of Birth: 08/16/930 Date of Death: 10/07/993 Fathers Last Name: Sargent Place of Death Hospital: Unknown City: Galesburg Sex: Female Age: 63 County: Kalamazoo SSN: 377-30-6975 If Hospital: Inpatient Residence County: Barry City: Orangeville Twp Zip Code: 49344 Place of Birth: Kentucky Armed Forces: No Ancestry: British, Scotch Education: 10 Address: 12616 West 9 Mile Road Marital Status: Widow, Widower Welsh, Scotch Race: White Underlying Cause of Death: 1991 Related Cause of Death (*) 111991 Autopsy: No Findings Available: Unknown Actual Place: Nursing Home Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 62094 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: CHARLES E. SPETA Date of Death: 07/13/993 Date of Birth: 10/12/900 Fathers Last Name: SPETA Sex: Male Age: 92 Place of Death Hospital: Blodgett Mem Med Cen City: East Grnd Rapids County: Kent If Hospital: SSN: 378-28-2353 Inpatient Residence County: Barry City: Johnstown Twp Zip Code: 49017 Address: 409 MILL LAKE Place of Birth: Unknown Armed Forces: Yes Marital Status: Widow, Widower Ancestry: Other Western European Race: White Education: 08 Underlying Cause of Death: 410 Related Cause of Death (*) 11410 61(20 627802 63887 Autopsy: No Findings Available: No Actual Place: Hospital Medical Examiner Case: No Mode of Death: Natural Work Inj ury: Location: State File Number: 42878 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NOIM - COUNTY RES I DENT THE STATE OF# Michigan Decedents Nantes HILDA ANN STAHL. Date of Deaths 03/28/993 Date of Births Fathers Last Names Cl eminent s 08/13/938 Sexs Female Ages 54 Place of Death Hosp i t a 1:: B1 od g e11 Mem Med Cen Citys East Grrid Rapids Countys Kent I f Hosp i t a 1 # SSNs 505-46-3960 I np a t i ent Residence County s Ba r ry City# Irving Twp Zip Codes 49325 Ad d r ess s 5891 Wood sc h oo1 Rd. Place of Births Nebraska Armed Forces# No Ancestry # Ge rman Education# 2 years College Marital Status# Married Races White Urid e r 1 y i ng Ca use o f Dea t h s 430 Re1a ted Cause o f Dea th (> 114300 61586 623481 Autopsy# No Findings Available# Unknown Actual Places Hospital Med i c a1 Ex a mi ner Ca se # Un k nown Mode of Deaths Natural Work Injury Location State File Numbers 15629 Six digits with the 1st digit being t1"*? line, the 2nd being the position within the line, and positions 3-6 being the ICD code.. �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH DEATH TRANSCRIPTS FOR 1998 11/16/98 County of Residence o County of Occurrence State of Residence: Michigan File Number: 029598 Patient Information Decedents Name: E. Mary Staines Sex: Female Date of Birth: 11/26/1914 SSN: 364-40-7775 Date of Death: 05/22/1998 Spouses Name: Fathers Name: Lee Hargrave Mothers Name: Julia Van Vleck Place of Birth: Michigan Ancestry: Armed Forces: Other Western European N0 Race: White Marital Status: Widow, Widower Education: 2 years College Place of Death City: Battle Creek County: Calhoun Patient Status: Inpatient Hospital or Other Place of Death: Convalescent home, nursing home, medical care facility or hospice Residence Address: City: 14433 Bedford Road Johnstown Twp Manner of Death Manner: Not Specified Line 1: Breast Cancer Line 2: Line 3: Line 4: Other Conditions: Injury Date: Injury Description: Occupation: Homemaker Industry: Own Home Johnstown County: Barry Zip Code: 49017 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN 11/27/95 NON-COUNTY RESIDENT State: Michigan File Number: 007764 Decedents Name: Sex: Male Harvey C. Staines Date of Birth: 05/06/911 Date of Death: 01/30/995 SSN: 368-14-4943 Spouses Name: E. Mary Hargrave Fathers Name: Bert Staines Mothers Name: Winnie Hendrick Place of Birth: Michigan Hospital: Unknown Ancestry: Other Western European Armed Forces: Education: Race: White No Marital Status: Married 2 years College Place of Death County: Calhoun City: Battle Creek If Hospital: Inpatient Residence Address: 14433 Bedford Road City: Johnstown Twp Manner of Death: Not Specified Line 1: Pneumonia Line 2: Aspiration Line 3: Swallow Dysfunction Line 4: Parkinson Disease Other Conditions: Injury Date: Description of Injury: Occupation: Industry: School Teacher Public School System Johnstown County: Barry Zip Code: 49017 �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 12/02/97 DEATH TRANSCRIPTS County of Residence o County of Occurrence State of Residence: Michigan File Number: 021365 Patient Information Decedents Name: Date of Death: Sex: Male Leo E. Stambaugh Date of Birth: 05/19/926 04/16/997 SSN: 375-20-9306 Spouses Name: Fathers Name: Mothers Name: Earl Stambaugh Arlie Wilcox Place of Birth: Michigan Ancestry: Armed Forces: Education: American Race: White Yes Marital Status: Widow, Widower High School Place of Death County: Calhoun City: Battle Creek Hospital or Other Place of Death: Patient Status: Inpatient Convalescent home, nursing home, medical care facility or hospice Residence Address: City: 6265 Thomapple Lake Castleton Twp County: Barry Zip Code: 49073 Manner of Death Manner: Not Specified Line 1: Pneumonia Line 2: Line 3: Line 4: Other Conditions: Post Surgical State; Intracranial Hematoma; Chf, Quadriplegia, Lupus, Ashd And Bell's Palsy Injury Date: Injury Description: Occupation: Supervisor Industry: Automotive Mfg. Company �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 036618 Sex: Male Stanley A. Stauffer Decedents Name: Date of Birth: 01/22/910 Date of Death: 06/27/996 SSN: 368-34-2940 Spouses Name: Fathers Name: Alcid Stauffer Mothers Name: Lotta Fairchild Place of Birth: Ohio Ancestry: Armed Forces: Education: British, Scotch, Welsh, Scotch Irish Race: White Yes Marital Status: Widow, Widower 08 Place of Death City: East Gmd Rapids County: Kent Hospital or Other Place of Death Blodgett Mem Med Cen . Patient Status: Inpatient Residence Address: 1005 N. Taffee Drive Hastings City: Hastings Manner of Death: Accidental Line 1: Craniocerebral Trauma Line 2: Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: 06/20/1996 Unwitnessed Fall Down Stairs Owner- Operator Dairy County: Barry Zip Code: 49058 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN 11/27/0^ NON-COUNTY RESIDENT State: Michigan File Number: 009302 Decedents Name: Sex: Male Thomas F Stebbins Date of Birth: 03/21/914 SSN: 368-09-3742 Date of Death: 02/15/995 Spouses Name: Fathers Name: Fred W. Stebbins Mothers Name: Myrtle Sullivan Place of Birth: Michigan Hospital: St Mary's Health Services - Grand Rapids Ancestry: British, Scotch, Welsh, Scotch Irish Armed Forces: Education: Race: White Yes Marital Status: Widow, Widower 5 years of college Place of Death City: Grand Rapids County: Kent If Hospital: Inpatient Residence Address: 538 West Green St. City: Hastings Manner of Death: Not Specified Linel: Cardiac Arrhythmia Line 2: Line 3: Line 4: Other Conditions: Kidney Failure Injury Date: Description of Injury: Occupation: Industry: Banker Banking Hastings County: Barry Zip Code: 49058 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: AGNES G. STORY Date of Death: 09/14/993 1Date of Birth: 04/21/912 Fathers Last Name: Fisher Place of Death Hospital: Unknown City: Battle Creek If Hospital: Sex: Female Age: 81 County: Calhoun Inpatient SSN: 363-32-1715 Residence County: Barry City: Assyria Twp Zip Code: 49021 Place of Birth: Michigan Armed Forces: No Ancestry: British, Scotch, Education: 10 Address: 8030 Tasker Road Marital Status: Widow, Widower Welsh, Scotch Race: White Underlying Cause of Death: 7999 Related Cause of Death (*) 117999 Autopsy: No Findings Available: Unknown Actual Place: Nursing Home Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: (*) 54658 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 02/02/98 DEATH TRANSCRIPTS Non-Resident Transcripts State of Residence: Michigan File Number: 053405 Patient Information Sex: Female Decedents Name: Kelly Jean Stough Date of Birth: 07/29/970 SSN: 368-74-6774 Date of Death: 08/31/997 Spouses Name: Fathers Name: Lyle Dee Stough Mothers Name: Lena Darlene Anthony Place of Birth: Michigan Ancestry: Armed Forces: German Race: White No Marital Status: Never Married Education: 09 Place of Death County: Wayne City: Detroit Patient Status: Emergency Room/Outpatient Hospital or Other Place of Death: Unknown Residence Address: City: 8051 Assyria Highway Nashville Nashville Manner of Death Manner: Not Specified Line 1: Pulmonary Thromboembolism Line 2: Possible Deep Vein Thrombosis Line 3: Line 4: Other Conditions: Injury Date: Injury Description: Occupation: Caretaker Industry: Child Care Industry County: Barry Zip Code: 49073 �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 12/02/97 DEATH TRANSCRIPTS County of Residence o County of Occurrence State of Residence: Michigan File Number: 021355 Patient Information Decedents Name: Date of Death: Spouses Name: Sex: Male Roy Moses Strickland Date of Birth: 12/05/905 04/02/997 SSN: 366-09-0601 Aleta Patricia Lybarger Fathers Name: Floyd Strickland Mothers Name: Elizabeth Briggs Place of Birth: Michigan Ancestry: Armed Forces: British, Scotch, Welsh, Scotch Irish Race: White Yes Marital Status: Married Education: High School Place of Death City: Battle Creek County: Calhoun Hospital or Other Place of Death: Patient Status: Inpatient Convalescent home, nursing home, medical care facility or hospice Residence Address: City: 10795 Case Road Assyria Assyria Twp Manner of Death Manner: Not Specified Line 1: Acute Myocardial Infarction Line 2: Atherosclerotic Heart Disease Line 3: Line 4: Other Conditions: Injury Date: Injury Description: Occupation: Owner/operator Industry: Dry Cleaning Business County: Barry Zip Code: 49050 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON ’ COUNTY RESIDENT THE STATE OF:: Michigan De«.: ede iits Na roe:: l< en e t h D.. S I*, r i wb«f: k Date of Births Da tee of Deaths: 05/07 /993 Fathers Last Nances S trimback 03/02/916 Sbx :: Ma J Agees 77 P1 a c e o f Dea t h Hosp i t a X:: Ba ttX ce Cr cecek Health Systems C i t y :c B a 1IX ce C r cece k Count. y s Ca1h oun I f Hosp J. t a 1:: I rip a t lent Residence County:: Barry Ci ty :: Ba 1t i no re Twp Zip Code:: 49058 P j ac (■? o f B i r t h:: Mf c: h igan A rneed Fo r c ces:: No Am: es t r y:: Ge v ma n Education:: 11 SSNs 366-07-9714 Add r cess s 4432 Bcedford Rd Ma r i t a 1 St a t us:: Matried Races White Undc-n J y5 ng Cause of 4912 Related Cause? of De« th C^) 117990 21490 61496 Autop sy « Nee F :il nd i ng s Ava i X a b X ce:: IJ n k nown Ac. t ua 1 P X a c e s Hosp i 1 Med i c. a I E xan i iw r Ca •=r>e:: Unk nown Mod e o f Dea t h s Na t u r a 1 Work Injury:: Loe. a t i on s 81 a t ce F i X e Nunb e r :: 28303 <$> Six digits with the^ 1st digit being the line, thee 2nd being th p Os i ti on w i th i n thee line, and posit ions 3-6 being the I CD code �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: VIRGINIA K. STUART Date of Birth: 12/27/921 Date of Death: 10/31/993 Fathers Last Name: Kerns Place of Death Hospital: Unknown City: Battle Creek Sex: Age: County: Calhoun SSN: 407-05-4943 If Hospital: Residence County: Barry City: Johnstown Twp Zip Code: 49050 Place of Birth: Kentucky Armed Forces: No Ancestry: German Education: 08 Address: 862 Bristol Lake Road Marital Status: Widow, Widower Race: White Underlying Cause of Death: 3352 Related Cause of Death (*) 113352 Autopsy: No Findings Available: Unknown Actual Place: Home Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: (*) 67625 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: MAMIE ELIZABETH STUCK Date of Death: 11/26/993 Date of Birth: 09/21/915 Sex: Female Age: 78 Fathers Last Name: Leppen Place of Death Hospital: Borgess Med Cen City: Kalamazoo If Hospital: Inpatient Residence County: Barry City: Barry Twp Zip Code: 49046 County: Kalamazoo SSN: 376-12-8557 Address: Place of Birth: Michigan Armed Forces: No Ancestry: German Education: High School 10450 Brickyard Rd. Marital Status: Married Race: White Underlying Cause of Death: 492 Related Cause of Death (*) 11492 614149 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: (*) 75684 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: FRANCES N. STUTZ Date of Death: 10/16/993 Date of Birth: Fathers Last Name: Orsbom 01/18/916 Sex: Female Age; 77 Place of Death Hospital: Blodgett Mem Med Cen City: East Gmd Rapids County: Kent If Hospital: SSN: 384-24-7177 Inpatient Residence County: Barry City: Hastings Zip Code: 49058 Address: 511 W. South Street Place of Birth: Michigan Armed Forces: No Marital Status: Married Ancestry: British, Scotch, Welsh, Scotch Race: White Education: 1 year College Underlying Cause of Death: 410 Related Cause of Death (*) 11410 21410 314149 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: No Mode of Death: Natural Work Injury: Location: State File Number: (*) 62141 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 014325 Decedents Name: Sex: Male Benjamin H. Sullivan Date of Birth: 09/10/910 Date of Death: 03/16/996 SSN: 275-10-3093 Spouses Name: Lorane Shedd Fathers Name: Benjamin P. Sullivan Mothers Name: Effie Rowe Place of Birth: Ohio Ancestry: Armed Forces: Education: British, Scotch, Welsh, Scotch Irish Race: White Yes Marital Status: Married 08 Place of Death City: Battle Creek County: Calhoun Hospital or Other Place of Death Nursing Home or Extended Care Facility Patient Status: Inpatient Residence Address: 2125 Maple Lane City: Hastings Twp Manner of Death: Not Specified Line 1: Cerebral Vascular Incident Line 2: Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Grounds Maintenance Hospital Hastings County: Barry Zip Code: 49058 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH 11/27/95 DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT State: Michigan File Number: 009009 Decedents Name: Sex: Female Kathleen Ruth Swartz Date of Death: 02/14/995 Spouses Name: William Dennis Swartz Date of Birth: 01/09/949 SSN: 278-44-5918 Fathers Name: Raymond Trott Mothers Name: Erma Irene Radar Place of Birth: Ohio Hospital: Borgess Med Cen Ancestry: Irish Armed Forces: Education: Race: White No Marital Status: Married High School Place of Death County: Kalamazoo City: Kalamazoo If Hospital: Inpatient Residence Address: 10825 Lacey Road Assyria Cily: Assyria Twp Manner of Death: Not Specified Line 1: Metastatic Synovial Sarcoma Line 2: Synovial Sarcoma Left Thigh Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Packaging Dept. Great Lakes Novelty Co. County: Barry Zip Code: 49021 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OFa Michigan Decedents Names LESLIE J*. SWEENEY Date of Deaths 04/34/993 Date of Birth:: 02/22/896 Fathers Last Names Sweeney P1 a c e o f Dea t h Hosp i t a 1 s Un k nown Citys Gravid Rapids If Hospi ta1n Sexs Male Ages 97 Countys Kent 1ripati e nt Residence County:: Ba r ry Citys I r v i ng Twp Zip Code:: 49333 SSNs 370-18-8193 Addresss 7545 Garbow Rd* P1 ace of Bi v th:: Mich igan A rmed Forces :.* No A i*m.: es try s I r i sh Educat ion:: 03 Ma r i t a 1 St a t us:: W i d ow, W i d owe r Races White Underlying Cause of Deaths 4149 Re 1 a t ed Ca use o f Dea th () 114149 Autopsya No Findings Availables Unknown Actual Places Nursing Home Med i c a 1 E x a m i no r Ca se:: Un k nown Mod e o f Dea t h :: Na t u r a 1 Work Injurys Locations S t a t e F i 1 e Numb e r s 3134 (#•) S i x cl ig :i t«> w i th th e 1 st. d i g i t being the line, the 2nd being the position within the line.; and positions 3-6 being the ICD codew �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 04/28/97 State of Residence: Michigan File Number: 068761 Decedents Name: Sex: Female Angela B. Swiatek Date of Birth: 08/17/913 Date of Death: 10/28/996 SSN: 372-05-1192 Spouses Name: Fathers Name: Stephan Bednarczyk Mothers Name: Felicia Idzikowski Place of Birth: Michigan Polish Ancestry: Armed Forces: Education: Race: White No Marital Status: Widow, Widower 2 years College Place of Death County: Kent City: Grand Rapids Hospital or Other Place of Death Patient Status: Inpatient Butterworth Hospital Residence Address: 1001 Podunk Lake Rd. Rutland City: Rutland Twp Manner of Death: Not Specified Line 1: Brainstem Herniation From A Stroke Line 2: Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Homemaker Home County: Barry Zip Code: 49058 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: CECILE MAE SWIMS Date of Death: 09/15/993 Date of Birth: 11/11/905 Fathers Last Name: Gage Sex: Female Age: 87 Place of Death Hospital: Battle Creek Health Systems City: Battle Creek County: Calhoun If Hospital: Inpatient Residence County: Barry City: Prairieville Twp Zip Code: 49046 Place of Birth: Michigan Armed Forces: No Ancestry: Italian Education: 08 SSN: 366-07-4885 Address: 12808 S. M-43 Marital Status: Divorced Race: White Underlying Cause of Death: 4448 Related Cause of Death (*) 214448 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: (*) 54667 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Edward L. Symonds Date of Death: 02/02/994 Date of Birth: Fathers Last Name: Symonds 05/04/929 Sex: Male Age: 64 Place of Death Hospital: Blodgett Mem Med Cen City: East Grnd Rapids County: Kent If Hospital: Inpatient SSN: 368-28-6910 Residence County: Barry City: Nashville Zip Code: 49073 Address: Place of Birth: Michigan Armed Forces: Yes Ancestry: American Education: 11 105 Sherman St. Marital Status: Married Race: White Underlying Cause of Death: 2500 Related Cause of Death (*) 114280 212500 224259 314140 41410 61486 Autopsy: No Findings Available: No Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: (*) 9945 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 09/03/98 DEATH TRANSCRIPTS FOR 1998 County of Residence o County of Occurrence State of Residence: Michigan File Number: 022782 Patient Information Sex: Female Decedents Name: Josephine Cora Symons Date of Birth: 03/21/1914 SSN: 279-12-0107 Date of Death: 04/27/1998 Spouses Name: Fathers Name: Carl Holden Mothers Name: Margaret Levy Place of Birth: Michigan Ancestry: British, Scotch, Welsh, Scotch Irish Race: White Armed Forces: No Marital Status: Divorced Education: 08 Place of Death County: Calhoun City: Battle Creek Patient Status: Inpatient Hospital or Other Place of Death: Battle Creek Health Systems Residence Address: City: 6762 Delton Road Barry Twp County: Barry Barry Zip Code: 49046 Manner of Death Manner: Not Specified Line 1: Diverticulitis Line 2: Line 3: Line 4: Other Conditions: Emphysema, Congestive Heart Failure (Chronic) Injury Date: Injury Description: Occupation: Waitress/ Cook Industry: Bar And Grill �MICHIGAN DEPARTMENT OF PUBLIC HEALTH 11/27/95 DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT State: Michigan File Number: 002594 Decedents Name: Sex: Male Frank E. Taylor Date of Birth: 02/24/924 SSN: 363-20-9796 Date of Death: 01/15/995 Spouses Name: Gertrude Weber Fathers Name: Delbert Taylor Mothers Name: Frances Clark Place of Birth: Michigan Hospital: Blodgett Mem Med Cen Ancestry: British, Scotch, Welsh, Scotch Irish Armed Forces: Education: Race: White Yes Marital Status: Married 10 Place of Death City: East Gmd Rapids County: Kent If Hospital: Inpatient Residence Address: 11527 Cobb Lake Rd. Yankee City: Yankee Springs Twp Manner of Death: Not Specified Line 1: Interstitial Pneumonitis Line 2: Adenocarcinoma Of The Lung Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Tool & Die Industry: Automotive County: Barry Zip Code: 49333 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 04/28/97 State of Residence: Michigan File Number: 076143 Decedents Name: Sex: Male James Dewitt Taylor Date of Birth: 12/29/934 Date of Death: 12/18/996 SSN: 376-32-9855 Spouses Name: Judy Ann Stinson Fathers Name: Mothers Name: Louis Taylor Pauline Cox Place of Birth: Arkansas Ancestry: Armed Forces: Education: American Race: White Yes Marital Status: Married High School Place of Death County: Kalamazoo City: Kalamazoo Hospital or Other Place of Death Patient Status: Inpatient Borgess Med Cen Residence * Address: 10421 Norris Road Delton City: Barry Twp Manner of Death: Not Specified Line 1: Myocardial Infarction Line 2: Post Operative Hemorrhage Line 3: Cirrhosis Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Hi- Lo Driver Automotive Mfg. Co. County: Barry Zip Code: 49046 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: John William Taylor Date of Death: 03/17/993 Date of Birth: 03/23/967 Fathers Last Name: Taylor Sex: Male Age: 25 Place of Death Hospital: Butterworth Hospital City: Grand Rapids County: Kent If Hospital: Inpatient Residence County: Barry City: Thornapple Twp Zip Code: 49333 Place of Birth: Michigan Armed Forces: No Ancestry: American Education: 3 years College SSN: 367-80-4381 Address: 6745 N. Middleville Road Marital Status: Never Married Race: White Underlying Cause of Death:- 8160 Related Cause of Death (*) 11)598 618160 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: No Mode of Death: Accident Work Injury: No Location: Street and Highway State File Number: 15804 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Robert W. Teeter Date of Death: 09/27/994 Date of Birth: Fathers Name: LaVerne W. Teeter Mothers Name: Hattie E. Armstrong Spouses Name: Eleanor L. Pfeiffer Sex: Male 01/20/919 Place of Death Hospital: Pipp Community Hospital City: Plainwell County: Allegan If Hospital: Emergency Room/Outpatient Residence County: Barry City: Yankee Springs Twp Zip Code: 49344 SSN: 366-07-9329 Address: 11937 England Drive Place of Birth: Michigan Armed Forces: Yes Marital Status: Married Ancestry: Other Western European Race: White Education: 11 Underlying Cause of Death: 4140 Related Cause of Death (*) 114149 214140 314284 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: No Mode of Death: Natural Work Injury: Location: State File Number: (*) 061419 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Eula Lee Tenney Date of Death: 01/22/994 Date of Birth: 09/16/902 Fathers Last Name: Armstrong Sex: Female Age: 91 Place of Death Hospital: Bronson Methodist Hospital City: Kalamazoo County: Kalamazoo If Hospital: Inpatient Residence County: Barry City: Prairieville Twp Zip Code: 49080 SSN: 366-10-5214 Address: 10800 Center St Place of Birth: Kentucky Armed Forces: No Marital Status: Widow, Widower Ancestry: British, Scotch, Welsh, Scotch Race: White Education: 08 Underlying Cause of Death: 4413 Related Cause of Death (*) 11410 214413 314149 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 2846 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 04/17/96 State of Residence: Michigan File Number: 056466 Decedents Name: Sex: Male Cecil John Terburg Date of Birth: 05/30/993 SSN: 384-15-0558 Date of Death: 08/31/995 Spouses Name: Fathers Name: Paul Joseph Terburg Mothers Name: Sonya Pratt Place of Birth: Michigan Ancestry: Other Western European Race: White Armed Forces: Unkn Marital Status: Never Married Education: None Place of Death City: Kalamazoo County: Kalamazoo Hospital or Other Place of Death Patient Status: Emergency Room/Outpatient Borgess Med Cen Residence Address: 10082 Bever Rd. City: Orangeville Twp Manner of Death: Orangeville County: Barry Zip Code: 49046 Accidental Line 1: Traumatic Brain Injury Line 2: Line 3: Line 4: • J .. Other Conditions: Injury Date: Description of Injury: Occupation: Industry: 08/31/1995 Motor Vehicle Accident None * �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 11/16/98 DEATH TRANSCRIPTS FOR 1998 County of Residence o County of Occurrence State of Residence: Michigan File Number: 021706 Patient Information Sex: Female Decedents Name: Baby Girl Terry Date of Birth: 03/25/1998 Date of Death: 03/27/1998 SSN: Spouses Name: Fathers Name: Unknown Mothers Name: Unknown Terry Place of Birth: Michigan Ancestry: Armed Forces: Other African Race: Black No Marital Status: Never Married Education: None Place of Death City: Detroit County: Wayne Hospital or Other Place of Death: Patient Status: Inpatient Detroit Riverview Hospital Residence Address: Unknown City: Unknown Unknown Manner of Death Manner: Not Specified Line 1: Extreme Immaturity Line 2: Severe Cardio Respiratory Failure Line 3: Hyperglycemia Line 4: Other Conditions: Renal Failure . Injury Date: Injury Description: Occupation: Never Employed Industry: None County: Unknown Zip Code: 99999 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NOIM - COUNTY RES I DENT THE STATE OF: Michigan . ..................................... •MMawMMwawMMawewtmsaSKasmKSKSSSSKSSSSKSSSSSSRSSKSSRSSnSSKSSSSASSMMSSSXSSRSSSSISSSKSS^ Dm: ed.•?? n ts Na me : John Teunesse n Date of Death: 04/27/993 Date of Birth: Fa t h e r s La st Na me:: Teunessen Place of Dea th Hosp i t a 1:: Un known City: Battle Creek I f Hosp i tai: 12/19/906 Sex: Male Age: 86 County: Ca1h oun SSN385*03-8503 31 np a t i an t Residence County:: Barry City: Carlton Twp Zip Codes 49058 Address: 524 Gaskil Rd P1 ace of Bi r t h : Mich i g a n Armed Forces: No Marital Status: Divorced Ancestry: Other Western European Races White Education: 08 Underlying Cause of Death: 4409 Related Cause of Death <#> 114280 214409 613441 622949 Autopsy: No Findings Available: Unknown Actual Place: Nursing Home Medical Examiner Cases Unknown Mode of Death: Natural Wenk Irijuiys Location: State File Number: 21514 (# > Six ci i g i t s w x t hi thr Ist cig:> t beiitg the 1 inev the 2nd l:>eing the p o®i t i ori w itIn in the line, and positions 3-6 being the I CD code,. �MICHIGAN DEPARTMENT OF" PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON -COUNT'Y RESIDENT THE STATE OFs Michigan .*.»:?>* .................................. .......................................................... ..................... .......................... .:::;:::sHuns;:ssss!usi!»"~s“x:;u;;:::x5n.K::nssKs:KS ”K”:s:s!3;:!2::u:n:"KJK:K::!z:::ni~s:s- Decedents Nam:?:: D0RT8 N.. THALER Date? of Death:: 05/13/993 Date of Birth:: Fathers Last Name:: Hupp 04/24/911 Sex: Female Ages 82 P1 a c: e o f De a fc h Hosp i t a 1:: Met r op o 111 a n Hosp i t a 1 Citys Grand Rapids Countys Kent T f Hosp i t a 1 a I npa t i ent SSN:: 377-62-9130 Residence Count y:: Ba r r y C i fcy:: Th □ r na p p 1 e Twp Zip Code:: 49333 P3 a a o f B i r t h:: Mie. h i g a n Armed Forces:: No Anu es t r y:: Ge r ma n Ed uca t .i. on:: Hi g h SKh oo 1 Ad d retas s 6490 Pa 11 e r son Rd N Marital Statues Widow, Widower Ra c e:: Wh i t e Und ev 1 yi ng Ca use o f Dea i 11:: 410 Related Cause of Death <>X) 11410 214284 612500 624019 637802 Autopsy:: No Findings Available:: No Actual Places Hospital Medical Examiner Case:: No Mode of Deaths Natural Work Injury:: L.ocat i ons 81 a t e F i1e Numb e r s 29862 (X<) 8i x d ig its wi th the 1st digit boring the line, the 2nd being the pos i t ion w i thin the line, and positions 3-6 being the XCD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Frank E. Thomas Date Of Death: 04/17/994 Date of Birth: Fathers Last Name: Thomas 04/11/917 Sex: Male Age: 77 Place of Death Hospital: Kent Comm Hospital Complex City: Grand Rapids County: Kent If Hospital: Inpatient Residence County: Barry City: Hastings Zip Code: 49058 SSN: 370-10-8568 Address: 225 West Nelson St. Place of Birth: Michigan Armed Forces: No Marital Status: Married Ancestry: British, Scotch, Welsh, Scotch Race: White Education: 08 Underlying Cause of Death: 438 Related Cause of Death (*) 11486 21438 61496 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: (*) 23874 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT State: Michigan File Number: 016276 Decedents Name: Sex: Male J. Kenith Thomas Date of Birth: 07/19/937 Date of Death: 03/16/995 SSN: 378-36-0261 Spouses Name: Edith M. Coverse Fathers Name: John Thomas Mothers Name: Gertrude Brady Place of Birth: Michigan Hospital: Blodgett Mem Med Cen Ancestry: Irish Armed Forces: Education: Race: White No Marital Status: Married High School Place of Death County: Kent City: East Gmd Rapids If Hospital: Inpatient Residence Address: 5411 Woodschool Road Irving City: Irving Twp Manner of Death: Not Specified Line 1: Sepsis Line 2: Large Cell Inununoblastic Lymphoma Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Factory Worker Automatic Sprinklers County: Barry Zip Code: 49058 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 04/17/96 State of Residence: Michigan File Number: 043524 Decedents Name: Sex: Male Joseph N. Thomas Date of Birth: 05/18/922 Date of Death: 06/30/995 SSN: 375-18-7939 Spouses Name: Betty A Wilkinson Fathers Name: Floyd N. Thomas Mothers Name: Marie Jacobs Place of Birth: Michigan Ancestry: Armed Forces: Education: British, Scotch, Welsh, Scotch Irish Race: White Yes Marital Status: Married High School Place of Death County: Kent City: Grand Rapids Hospital or Other Place of Death Patient Status: Inpatient Metropolitan Hospital Residence Address: 990 N. Whitmore Road City: Rutland Twp Maimer of Death: Not Specified Line 1: Cardiomyopathy Line 2: Renal Failure Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Inspector Water Heater Manufacturing Rutland County: Barry Zip Code: 49058 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: VIRGINIA Date of Death: 09/20/993 'THOMAS Date of Birth: 08/16/918 Sex: Female Age: 75 Fathers Last Name: Hayward Place of Death Hospital: Borgess Med Cen City: Kalamazoo If Hospital: County: Kalamazoo Inpatient SSN: 366-36-0537 Residence County: Barry City: Barry Twp Zip Code: 49060 Address: 4660 Hickory Rd. Place of Birth: Michigan Armed Forces: No Ancestry: British, Marital Status: Widow, Scotch, Welsh, Scotch Race: Widower White Education: High School Underlying Cause of Death: 4439 Related Cause of Death (*) 117854 214439 614280 625939 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: (*) 55859 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 12/02/97 DEATH TRANSCRIPTS County of Residence o County of Occurrence State of Residence: Michigan File Number: 029937 Patient Information Decedents Name: Date of Death: Sex: Female Caitlin E. Thompson Date of Birth: 04/23/997 04/24/997 SSN: Spouses Name: Fathers Name: Mothers Name: Place of Birth: Ancestry: Armed Forces: Christophe T. Thompson Julia R. Arias Michigan Norwegian, Swedish Danish Race: White No Marital Status: Never Married Education: None Place of Death City: Grand Rapids County: Kent Hospital or Other Place of Death: Patient Status: Inpatient Butterworth Hospital Residence Address: City: 319 S. Broadway Hastings Manner of Death Manner: Not Specified Line 1: Extreme Prematurity Line 2: Chorioamnionitis Line 3: Preterm Labor Line 4: Other Conditions: Injury Date: Injury Description: Occupation: None Industry: Hastings County: Barry Zip Code: 49058 � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Deaths Outside Barry County Subject The topic of the resource BarryCounty.DeathRecords.OutsideCounty Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Death Transcripts (Vol. 9) of Barry County Residents who died outside of Barry County, 1900-1998. Shook to Thompson. Subject The topic of the resource BarryCounty.DeathRecords.OutsideCounty Description An account of the resource Death Transcripts (Vol. 9) of Barry County Residents who died outside of Barry County. Shook to Thompson Type The nature or genre of the resource PDF Format The file format, physical medium, or dimensions of the resource Text Creator An entity primarily responsible for making the resource Michigan Department of Health Rights Information about rights held in and over the resource http://rightsstatements.org/vocab/NKC/1.0/ Rights Holder A person or organization owning or managing rights over the resource. Michigan Department of Health and HPL